<form action="add-form" class="form-horizontal" data-toggle="validator" id="add-form" method="POST" role="form">
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><span style="color: red">*</span>电梯编号:</label>
        <div class="col-xs-12 col-sm-8">
            <input class="form-control" data-rule="required" name="row[lift_number]" placeholder="请输入电梯编号"
                   type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><span style="color: red">*</span>手机号码:</label>
        <div class="col-xs-12 col-sm-8">
            <input class="form-control" data-rule="required" name="row[phone]" placeholder="请输入手机号码"
                   type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><span style="color: red">*</span>业主名称:</label>
        <div class="col-xs-12 col-sm-8">
            <input class="form-control" data-rule="required" name="row[real_name]" placeholder="请输入真实名称"
                   type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-title" class="control-label col-xs-12 col-sm-2"><span style="color: red">*</span>地区:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-title" class="form-control" data-toggle="city-picker" name="row[area]" data-level="district" type="text" value="" />
        </div>
    </div>
    <div class="form-group">
        <label for="c-building" class="control-label col-xs-12 col-sm-2">小区楼栋:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-building" class="form-control"  name="row[building]" type="text" placeholder="请输入小区楼栋" value="" />
        </div>
    </div>
    <div class="form-group">
        <label for="c-unit" class="control-label col-xs-12 col-sm-2"><span style="color: red">*</span>梯位:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-unit" class="form-control"  name="row[unit]" type="text" placeholder="请输入梯位" value="" />
        </div>
    </div>
    <div class="form-group">
        <label for="c-manufacturer" class="control-label col-xs-12 col-sm-2">设备厂商:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-manufacturer" class="form-control"  name="row[manufacturer]" type="text" placeholder="请输入设备厂商" value="" />
        </div>
    </div>
    <div class="form-group">
        <label for="c-contractor" class="control-label col-xs-12 col-sm-2">加装总包公司:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-contractor" class="form-control"  name="row[contractor]" type="text" placeholder="请输入加装总包公司" value="" />
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">安装时间:</label>
        <div class="col-xs-12 col-sm-8">
            <input class="form-control datetimepicker" data-date-format="YYYY-MM-DD"
                   data-use-current="true" name="row[install_time]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button class="btn btn-success btn-embossed " type="submit">{:__('OK')}</button>
            <button class="btn btn-default btn-embossed" type="reset">{:__('Reset')}</button>
        </div>
    </div>
</form>
